Mrs Katherine Rose Ford, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Mendota, IL

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Mrs Katherine Rose Ford, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Mendota, Illinois. She graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Osf Multi-specialty Group and her current practice location is 1401 E 12th St, Mendota, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 343-1925.

Mrs Katherine Rose Ford is licensed to practice in Illinois (license number 041.328911) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073869475.

Contact Information

Mrs Katherine Rose Ford, CRNA
1401 E 12th St,
Mendota, IL 61342
(815) 343-1925
Not Available

Map and Direction




Physician's Profile

Full NameMrs Katherine Rose Ford
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience13 Years
Location1401 E 12th St, Mendota, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Katherine Rose Ford graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1073869475
  • Provider Enumeration Date: 08/03/2012
  • Last Update Date: 03/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1951554856
  • Enrollment ID: I20121228000336

Medical Identifiers

Medical identifiers for Mrs Katherine Rose Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073869475NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 209-009634 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered 041.328911 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl CtrOttawa, ILHospital
Osf Saint Paul Medical CenterMendota, ILHospital
Osf Saint Anthony Medical CenterRockford, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891848

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Katherine Rose Ford allows following entities to bill medicare on her behalf.
Entity NameOttawa Regional Hospital & Healthcare Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306971080
PECOS PAC ID: 9133029861
Enrollment ID: O20040109000910
Entity NameMendota Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407872997
PECOS PAC ID: 2264335777
Enrollment ID: O20040131000102
Entity NameValley Pain Care Centers, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194722058
PECOS PAC ID: 7517858632
Enrollment ID: O20040320000066
Entity NameMendota Community Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1609803113
PECOS PAC ID: 2264335777
Enrollment ID: O20080123000489
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Katherine Rose Ford is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Katherine Rose Ford, CRNA
1401 E 12th St,
Mendota, IL 61342-9216

Ph: (815) 539-1607		Mrs Katherine Rose Ford, CRNA
1401 E 12th St,
Mendota, IL 61342

Ph: (815) 343-1925

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.